Auditbox - Audit Record Repository

A FHIR-native Audit Record Repository to consolidate healthcare audit logs from multiple sources and answer compliance or security questions in seconds — not weeks.

What's in the box?

Standards-Based Audit Consolidation icon
Standards-Based Audit Consolidation

Centralize FHIR AuditEvent from your services in one standards-based repository — a single source of truth with consistent schema and lifecycle policies.

Quick FHIR ecosystem integration icon
Quick FHIR ecosystem integration

Integrate via standard FHIR APIs and AuditEvent resources to reduce mapping and boilerplate.

Complete audit trails icon
Complete audit trails

Capture who, what, when, where, and how for every access or change — aligned with ASTM E2147, HIPAA, and GDPR.

Cost-effective log storage icon
Cost-effective log storage

Optimize storage costs while retaining full compliance so that long-term regulatory retention doesn't overload expensive SIEM or database resources.

Fast investigations icon
Fast investigations

Quickly trace user activity with a standardized API and intuitive UI so you can perform audits, reviews, and root-cause analysis without sifting through raw system logs.

Architecture

Auditbox architecture diagram

Standards-based FHIR Audit Event as the data model foundation

{
  "resourceType": "AuditEvent",
  "meta": {
    "profile": [
      "https://profiles.ihe.net/ITI/BALP/StructureDefinition/
       IHE.BasicAudit.PatientDelete"
    ]
  },
  "type": {
    "system": "http://terminology.hl7.org/CodeSystem/audit-event-type",
    "code": "rest",
    "display": "Restful Operation"
  },
  "subtype": [{
    "system": "http://hl7.org/fhir/restful-interaction",
    "code": "delete",
    "display": "Delete"
  }],
  "action": "D",
  "recorded": "2025-09-10T12:00:00Z",
  "outcome": "0",
  "agent": [{
    "type": {
      "coding": [{
        "system": "http://dicom.nema.org/resources/ontology/DCM",
        "code": "110150",
        "display": "Application"
      }]
    },
    "requestor": true,
    "who": { "reference": "Device/app-server-01" }
  }],
  "source": {
    "observer": { "reference": "Device/audit-source" },
    "type": [{ "code": "4" }]
  },
  "entity": [{
    "what": { "reference": "Patient/example" },
    "type": { "code": "1" },
    "role": { "code": "1" }
  }]
}
Who
Agents (Actors and Roles) — AuditBox capability

Agents (Actors and Roles)

Identifies every person, system, or device involved, including their roles (e.g., clinician, system, device).

Source (Site & Observer) — AuditBox capability

Source (Site & Observer)

The system or component that detected and reported the event.

Where
Location — AuditBox capability

Location

Actual place of the event (e.g., clinic room, device location).

What
Type & Action — AuditBox capability

Type & Action

What happened (e.g., record accessed, updated, deleted).

Entities (Objects & Details) — AuditBox capability

Entities (Objects & Details)

Which data or resources were affected, with rich context and security labels.

When
Time & Outcome — AuditBox capability

Time & Outcome

When it happened and whether it succeeded or failed.

Why
Authorization — AuditBox capability

Authorization

Capture the specific reason each actor (person, system, or device) participated in it.

Designed for Healthcare Security & Audit Needs

Auditbox adapts to your security and compliance workflows across the full healthcare audit lifecycle.

Automatically ingest FHIR‑native logs from your FHIR services to eliminate fragmented audit trails.

Get Early Access
We'll get in touch to set up your FHIR-native audit repository.
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Health Samurai Inc. 1891 N Gaffey St Ste O, San Pedro, CA 90731

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